The Gut–Liver Axis in Chronic Liver Disease: A Macrophage Perspective

Chronic liver disease (CLD) is a growing health concern which accounts for two million deaths per year. Obesity, alcohol overconsumption, and progressive cholestasis are commonly characterized by persistent low-grade inflammation and advancing fibrosis, which form the basis for development of end-st...

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Main Authors: Kevin De Muynck, Bart Vanderborght, Hans Van Vlierberghe, Lindsey Devisscher
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/10/11/2959
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author Kevin De Muynck
Bart Vanderborght
Hans Van Vlierberghe
Lindsey Devisscher
author_facet Kevin De Muynck
Bart Vanderborght
Hans Van Vlierberghe
Lindsey Devisscher
author_sort Kevin De Muynck
collection DOAJ
description Chronic liver disease (CLD) is a growing health concern which accounts for two million deaths per year. Obesity, alcohol overconsumption, and progressive cholestasis are commonly characterized by persistent low-grade inflammation and advancing fibrosis, which form the basis for development of end-stage liver disease complications, including hepatocellular carcinoma. CLD pathophysiology extends to the intestinal tract and is characterized by intestinal dysbiosis, bile acid dysregulation, and gut barrier disruption. In addition, macrophages are key players in CLD progression and intestinal barrier breakdown. Emerging studies are unveiling macrophage heterogeneity and driving factors of their plasticity in health and disease. To date, in-depth investigation of how gut–liver axis disruption impacts the hepatic and intestinal macrophage pool in CLD pathogenesis is scarce. In this review, we give an overview of the role of intestinal and hepatic macrophages in homeostasis and gut–liver axis disruption in progressive stages of CLD.
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spelling doaj.art-8e09ed8106ac4a8cb45068374e33e6fa2023-11-22T22:49:16ZengMDPI AGCells2073-44092021-10-011011295910.3390/cells10112959The Gut–Liver Axis in Chronic Liver Disease: A Macrophage PerspectiveKevin De Muynck0Bart Vanderborght1Hans Van Vlierberghe2Lindsey Devisscher3Gut-Liver Immunopharmacology Unit, Department of Basic and Applied Medical Sciences, Liver Research Center Ghent, Ghent University, 9000 Ghent, BelgiumGut-Liver Immunopharmacology Unit, Department of Basic and Applied Medical Sciences, Liver Research Center Ghent, Ghent University, 9000 Ghent, BelgiumHepatology Research Unit, Department of Internal Medicine and Pediatrics, Liver Research Center Ghent, Ghent University, 9000 Ghent, BelgiumGut-Liver Immunopharmacology Unit, Department of Basic and Applied Medical Sciences, Liver Research Center Ghent, Ghent University, 9000 Ghent, BelgiumChronic liver disease (CLD) is a growing health concern which accounts for two million deaths per year. Obesity, alcohol overconsumption, and progressive cholestasis are commonly characterized by persistent low-grade inflammation and advancing fibrosis, which form the basis for development of end-stage liver disease complications, including hepatocellular carcinoma. CLD pathophysiology extends to the intestinal tract and is characterized by intestinal dysbiosis, bile acid dysregulation, and gut barrier disruption. In addition, macrophages are key players in CLD progression and intestinal barrier breakdown. Emerging studies are unveiling macrophage heterogeneity and driving factors of their plasticity in health and disease. To date, in-depth investigation of how gut–liver axis disruption impacts the hepatic and intestinal macrophage pool in CLD pathogenesis is scarce. In this review, we give an overview of the role of intestinal and hepatic macrophages in homeostasis and gut–liver axis disruption in progressive stages of CLD.https://www.mdpi.com/2073-4409/10/11/2959macrophagechronic liver diseasegut-liver axis
spellingShingle Kevin De Muynck
Bart Vanderborght
Hans Van Vlierberghe
Lindsey Devisscher
The Gut–Liver Axis in Chronic Liver Disease: A Macrophage Perspective
Cells
macrophage
chronic liver disease
gut-liver axis
title The Gut–Liver Axis in Chronic Liver Disease: A Macrophage Perspective
title_full The Gut–Liver Axis in Chronic Liver Disease: A Macrophage Perspective
title_fullStr The Gut–Liver Axis in Chronic Liver Disease: A Macrophage Perspective
title_full_unstemmed The Gut–Liver Axis in Chronic Liver Disease: A Macrophage Perspective
title_short The Gut–Liver Axis in Chronic Liver Disease: A Macrophage Perspective
title_sort gut liver axis in chronic liver disease a macrophage perspective
topic macrophage
chronic liver disease
gut-liver axis
url https://www.mdpi.com/2073-4409/10/11/2959
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